Active NPIIndividual provider

Rebecca M Black, PHD

Psychologist in Lebanon, New Hampshire

NPI Number1518036763
Practice location
20 West Park St, Suites 416 And 219, Lebanon, NH 03766
Fax
603-448-8249
Last updated
July 8, 2007

Rebecca M Black is a Psychologist based in Lebanon, NH. Rebecca M Black practices in Lebanon, NH and has the professional credentials of PHD. The NPI Number for Rebecca M Black is 1518036763 and holds a License No. 362 (NH). The current practice location address for Rebecca M Black is 20 West Park St, Suites 416 And 219, Lebanon, NH 03766 and can be reached out via phone at 603-448-1101 and via fax at 603-448-8249.

Provider Profile Details

NPI Number
1518036763
Provider Name
Rebecca M Black
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
20 West Park St, Suites 416 And 219, Lebanon, NH 03766
Phone Number
603-448-1101
Fax Number
603-448-8249
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Other Names
-- Rebecca B Mayer (Other Name)
Provider Enumeration Date
November 6, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 West Park St
Suites 416 And 219
Lebanon, NH 03766
Zip
03766
Phone Number
603-448-1101
Fax Number
603-448-8249
Lebanon, NH 03766Get directions →

Provider Business Mailing Address Details

Address
9 Hanover St
Suite 2 West Central Services INC
Lebanon, NH 03766
City
Lebanon
State
NH
Zip
03766
Phone Number
603-448-0126
Fax Number
603-448-6001

License Information

License Number (1)
362
License State (1)
NH
Taxonomy (1)
Psychologist · 103T00000X · Primary
License Number (2)
0480000202
License State (2)
VT
Taxonomy (2)
Psychologist · 103T00000X
License Number (3)
472
License State (3)
MA
Taxonomy (3)
Psychologist · 103T00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rebecca M Black, PHD?

The NPI number of Rebecca M Black, PHD is 1518036763. It was assigned on November 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Rebecca M Black, PHD?

Rebecca M Black, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NH under license number 362.

Where does Rebecca M Black, PHD practice?

The practice location is 20 West Park St, Suites 416 And 219, Lebanon, NH 03766. The office can be reached at 603-448-1101 (phone) or 603-448-8249 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518036763 directly on the NPPES registry website.

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